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Sumary, Conclusions and Recommendations
Pages 1-8

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From page 1...
... The con~mittee early recognized that the lack of a precise operational definition and the lack of published data on the operations, costs, and impact of COPC would be the major obstacles to the study. Consequently, the committee worked with the study staff to develop an operational model and to conduct a series of case studies examining primary care practices and programs that incorporate the principal elements of COPC.
From page 2...
... Both ache primary care practice and the community can be organized into ~ variety of forms, and the model placer no constraints on the forms that may be engaged in COPC. The characteristics of the primary care practice and of the community constitute He environment in which COPC in practiced.
From page 3...
... The program is supported by the Presbyterian Medical Services, a private, nonprofit organization, and provides camprehensive primary care services to the 14,000 residents of the checkerboard area, which earns its name from the checkered pattern of land ownership, divided among the federal And
From page 4...
... East Boston represents the blending of community control and the concentration of skills in population-based research within ~ primary care program -- a fortunate combination of elements that have contributed to an innovative program of COPC. The Raiser-Per~nente Medical Care Programs is a federally qualified health maintenance organization serving approximately 2S0,000 enrollees in ye Portland area.
From page 5...
... The study did not find a COPC practice site in a community served by multiple provider groups. However, in theory it would be possible in such a setting for several practices to collaborate in the COPC activities while maintaining independence in their primary care activities.
From page 6...
... . The conceptual model of COPC, developed in this report in terms of structure and function, holds promise for a primary care system that is more responsive than current primary care practices to meeting the health needs of communities.
From page 7...
... These methods should be developed and presented in a way that makes them usable by providers wishing to move priory care to COPC.


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